Here is a link to a diagram that categorizes sports according to their dynamic and static components: http://www.athletesheart.org/wp-content/uploads/2013/12/Classification-of-Sports-300217.png. Maybe a genewho knows. He was just diagnosed with functional BAV due to partial stuck together of two leaflets (out of three, as far as I understand, they are equal). He was forced to stop playing football at 11. Just still unsure however if my bioprosthetic valve affects my cross country running times. Since Im very active in sports, Id like to have your opinion on it. I dont know about the relative effectiveness of various ARBs used for this purpose. Push for earlier date? Dr. Larry, very helpful content. It is quite frustrating, Im running with some guys that have a hard time believing that I run a marathon. Related posts: The use of a less invasive transcatheter therapy in this . Dublin teen to compete in Irish Dancing World Championships after heart My primary question relates to sports. Thank you so much for your clear explanations. She said it could still be 6 months to a year just depending on if there are any more changes to this next echo. I am considered elite in my age division. after surgery and was playing football again by September. The Cardiologist now suggesting taking beta blockers as a way to slow things down and has advised that anywhere from 4.5 to 5.0 is where he would consider intervening. I recently also did a 24hr EKG (holter) which was fine. Yes, I am aware of the work by Dr. Dietz. "I feel fantastic and have already been walking the streets of Cleveland enjoying your amazing statues. Before that, I had never seen a cardiologist ever. Ive heard from a fair number of endurance athletes after having aortic valve operations of one sort or another. Sometimes it comes even when not exercising. A HR limit of 120 will be tough, I would guess. Ive thought that the next visit to the pediatrician would be a good opportunity to discuss the issue. Please refer to this article if not: https://academic.oup.com/ejcts/article/50/3/400/2197426. First, youre not alone! The Institute is a unique collaboration of cardiothoracic and vascular surgeons, cardiologists, pulmonologists and basic scientists all working together without the boundaries of departments or specialties. They all underwent aortic valve replacement. My exercise is limited to 30 minutes of moderate carido, with no weights. Options for operation Search Heart Hospitals The valve will become healed (scarred) into the surrounding heart tissues with the passage of time. Aortic Stenosis Just double checking. ", Braxton is a survivor of pericarditis, an inflammation of the sac surrounding the heart. While my surgeon said that I can do whatever normal healthy person would do my cardiologist gave me some restrictions basically not to raise my HR over 120. Some information about myself: Im 28, 186 cm, 77 kg, max pulse 194, rest 50 bpm, live in Russia. ANYTHING other than walking and golf? Living with Bicuspid Aortic Valve | Lurie Children's I currently run 40 -50km a week and do two 2 hour intensive yoga sessions a week. 27yr old male. Bicuspid aortic valve (BAV) is the most common form of congenital aortic valve disease, in which the valve has only two leaflets instead of the usual three; it affects up to 2% of the population. As of Monday, my BP at the echo appointment read 115/66. I can not be on anticoagulant medications on the fire department. My family is pressuring me to quit strenuous cycling but I am thinking that switching to longer rides at lower heart rates would not accelerate valve wear or otherwise be bad for me. She is afraid, I can understand that. Have completed an excercise stress test and signed off as ok on reaching level 13. Bicuspid Aortic Disease | Cedars-Sinai Their experiences have been variable, and perhaps for a variety of reasons. We just saw the cardiologist in July and again same symptoms and no significant cardiac changes . Athletes in this circumstance should collect opinions from their doctor(s) and make very careful considerations before returning to exercise. Currently, it is estimated that about 5% of those with bicuspid aortic valve disease will experience aortic dissection. Bicuspid Aortic Valve - Symptoms, Diagnosis, Treatment & Surgery I say this based on the fact different exercises will allow for differrent weight tolerances than others, in addition, stronger people can handle more weight than others. I am 26 yera old , I have aortic aneurisem. The abnormal anatomy of the bicuspid aortic valve is complex, and a classification schema of 3 anatomical types has been proposed by Sievers and Schmidtke. Mild degrees of aortic regurgitation are usually well-tolerated and do not produce symptoms. It functions as a one-way valve, opening and closing with each heartbeat, which keeps the blood flowing in the correct direction. Baldwin Publishing, Inc. strongly suggests that you use this information in consultation with your doctor or other health professional. Celebrities With Heart Disease - Celebrity Heart Health Survivors. As a result, the valve doesn't function perfectly. I have also been advised that running intervals at over 80% max heart rate would not be sensible. "Were saying to put the focus back on you and make a date with your heart.". Hope to hear back soon. March 6, 2023, Erin Feaker We were to see them in 3 months. The notion is to reduce the number of cycles of heart beat x high blood pressure. His doctor said his heart look very healthy and no other issues. Diagnosed last year while looking at something else. Other heart parameters are very good (no bigger chamber or aorta). We go back in 3 months for another echo. 5 months ago was diagnosed with severe AR and 5 cm long aneurism (root 3.0 cm, sinusi valsave 4.3cm, ST 3.6cm, ascending aorta 3.6cm) on regular yearly checkout, with no syptoms. Perhaps other readers will comment. "Know the symptoms ladies," she wrote. Best to mention your participation in the marathon when you have the tests done. Bicuspid aortic valve. He had a mild BAV and was told that he can play with no restriction. It's the most common type of congenital heart disease (heart defect that's present at birth) and often goes unnoticed until later in life. Im not familiar with employment eligibility issues with BAV, even in this country. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Dr. Larry Creswell on athletes and heart health. However, his ascending aorta has been enlarging: 11/27/13 31 mm (echo), 6/10/15 39 mm (echo), 7/8/16 41 mm MRI). I like to thank you in advance for reviewing my question and also, thank you for such a great blog. "Thanks to the team at the Cleveland Clinic, I have a new aortic valve to go along with my new pulmonary valve from my last surgery," he wrote. I know what theyre saying and after that I know that I have mixed feelings because I feel depressed about not being active like I used to be, but then I feel selfish as I am not being grateful. Kinda like a marathon but it will take me at least 9 hours. ODonnell, now 54, said her heart attack began after she helped an enormous woman struggling to get out of her car in a parking lot. In fact, one young man died 5 years after operation (from other non related causes) and the study on his aorta tissue revealed that the device helped it to heal, presenting a healthy histology. This gives a chance for the sternum, which was split during the operation, to heal completely. Bicuspid aortic valve refers to a spectrum of deformed aortic valves with two functional leaflets or cusps which are often unequal in size. Aortic replacement. Copyright 2021-2022 Baldwin Publishing, Inc.All rights reserved. http://games.crossfit.com/athlete/39565 Ever since undergoing open heart surgery in 2010 for her surprise diagnosis of heart disease, Jones has worked as a national ambassador for the American Heart Association to raise awareness. Doc says no problem, but that seems to be contrary to what I see here. But thats just anecdote. I want to continue weightlifting .. what is your opinion about this ? Many thanks again for answering this. Sign up to receive an email when I add new content. Bicuspid aortic valve (BAV) and congenital aortic stenosis are two types of heart defects that may be present at birth. Am I crazy? what would your advice be for training & competing? This visit we were told it could be a few years before anything needs to be done. Approximately 1%-2% of the population are born with an aortic valve that only has two cusps. Perhaps you could print out the diagram, take it with you to the cardiologist, and ask him/her to circle the forms of exercise that would be safe in your case. Aortic stenosis has been reported to occur in as many as 72 percent of adults with a congenital bicuspid aortic valve, with peak incidence occurring in the 5th and 6th decades of life. I currently lift reasonably heavy weights in the 8-12 rep range, including body weight excercises such as pull ups and push ups. New guidelines from 2015 are in accord with your doctors recommendations about vigorous exercise as well as periodic imaging to measure the aorta. Is the biggest risk (from numbness) a over-calcified valve which would cause lack of blood flow? Willie Moses He/she can talk with you about the generalities of operation in your circumstance. Your sons cardiologist would seem to be in the best position to offer specific advice. The rest of the aorta is normal (visualized to just above the bifurcation in the abdomen). We are wondering is there a science to knowing when he should have the surgery? Celebrities With Heart Disease - Celebrity Heart Health Survivors When I had my valve replaced I was told that it would have a 20 year ish life but I think it should exceed that. Ive done so much research and there are lots of young people who have went on to play sports and lead normal lifes. Im not looking forward competitions nor marathons. Several famous people were reported to have had bicuspid valves: former first Lady Barbara Bush, the comedian Robin Williams, and California Governator Arnold Schwarzenegger. She learned she needed an aortic valve replacement in 2009 and underwent open heart surgery, receiving a mechanical valve to replace her damaged aortic valve. Mild to moderate ai Hi Dr Creswell, Great article! My son is 15 and has grown about 4-6 inches in the last year. Who Has BAV? - bicuspidfoundation.com My cardiologist has advised that while marathon running is out, shorter runs (up to 6-8 miles) and pilates are both fine for now. We use surveillance (you mention every 6 months) because usually problems with progressive enlargement of the aorta or with the valve itself can be picked up before there is any lasting harm. At issue are the potential long-term effects of repeated episodes of high heart rate and high blood pressure that accompany intense exercise. Hi Larry, As I mentioned in previous comment my recovery is going great. I excercise 2-3 times a week, namely cardio and weight lifting. In patients needing valve replacement because of stenosis or regurgitation, the aorta should be repaired or replaced if the aortic diameter exceeds 4.5 cm. Adam has been featured by the American Heart Association and Medical News Today. Also he told me I can lift weights and do other activities. Congenital bicuspid aortic valve after age 20 - PubMed I have BAV with an ascended aorta and heart murmur. I am playing basketball I am doing 100m and 200m and swimming . What is a TAVR? I am a 60 yo female who has been active my whole life. My son was diagnosed with BAV, by chance, when he was 7. Athletes should have detailed discussion with their doctors about any prudent limitations to exercise after operation and settle on a mutually agreeable plan. However, many people will develop complications from their BAV and may need surgery in their lifetimeeither to repair or replace the aortic valve, the thoracic aorta or both. Use of this site constitutes acceptance of our User Agreement and Privacy Policy and Cookie Statement and Your California Privacy Rights. The issues of when, how, what sports are safe, etc. My question here is what is the damage I can cause to my heart, mechanical valve, if I keep my heart rate at hi intensity levels? Open heart surgery is sometimes the best option, but it is not always the only option. Keep us posted! In my early 40s I thought that I was getting out of breath more than I should and eventually began to feel weak or nervous during a game, but only on Sunday. Save yourself.. Cardiac outcomes in a contemporary population of adults with bicuspid aortic valve have not been systematically determined.Objective To determine the frequency and predictors of cardiac outcomes in a. If you suspect you have a heart issue, either because you have symptoms or a family history of heart problems, see a doctor. He seen our family doctor that week who confirmed the murmur. I have had three annual Echocardigrams, the first two showed mild stenosis, mild LV thickening. Have you heard about the PEARS procedure? The tragic event's silver lining was that it caused Latifah, 46, and her mother, 67, to bond. I have regular checks, 12 to 18 months, and until about 3 years ago was told that it was hard to tell that Id had a replacement valve, it now shows slight stiffening. I have been doing as much research as possible on what are the advantages/disadvantages of each replacement. Young Patient Feeling 'Supercharged' After Bicuspid Aortic Valve Surgery I mean, when competing, my average heart rate is close to 159 and my max HR is around 170. No LV chamber chamber dialiation, normal LV wall thickness, good LC systolic function, No regional LV wall motion abnormality. Make no mistake, though. Should I stop jiu-jitsu as it is a mix of anaerobic exercise (which I hear is bad) and aerobic exercise (which I hear is good)? I have ramped up my walking to 30 minutes, keeping my heart rate under 100 bpm. Ever since undergoing open heart surgery in 2010 for her surprise diagnosis of heart disease, Jones has worked as a national ambassador for the American . After his procedure, Arnold posted the picture above with the following statement, "Thanks to the team at Cleveland Clinic, I have a new aortic valve to go along with my new pulmonary valve from my last surgery. Holding breath during lifts valsalva). I dont want to do any damage or compromise my homograft as the last surgery was a very difficult recovery. This award-winning website has helped over 10 million people fight heart valve disease. which seems to suggest that he has returned successfully to the sport. my son has BAV he was born with. He has been restricted from playing contact sports since hey was 10. Aortic valve repair and aortic valve replacement - Mayo Clinic Is this a possible explanation? Typically, the aortic valve has three cusps (tricuspid aortic valve), but some people are born with an aortic valve that has two cusps (bicuspid aortic valve). Hi Larry, thanks for doing this website, I wish there were more like it. In addition to being patients, there are many celebrities who, like you, parent a child with CHD as well. I get sporatic tingling in my left hand and footand every so often in my left cheek bone. His doctor did not restrict him, but suggested that it may be time to give up the high-level play due to its high intensity training aspect (based on the Therefore, in the current study, we aimed to compare procedural and 30-day outcomes after TAVI between type 0 and type 1 BAV . Early after operation, and for perhaps the first month, we typically limit activities that place stress on the shoulders and sternum. Monica Lewinsky: 25 Randoms on the 25th Anniversary of the Bill Clinton Calamity. Parenthetically, it may be time for an update. Almost 15 years ago skilled surgeons replaced my aorta valve with a new replacement valve. How a Fitness Trainer Manages Bicuspid Aortic Valve Disease - Men's Health Congenital heart issues affect approximately 40,000 people born each year in the U.S. and are one of the most common types of birth defects. There has been a slight increase in the measurements over the last several years, but I am still below the threshold which would require surgical intervention. Bicuspid Aortic Valve | Circulation ( I was much worse though). Star Jones. Thank you for your assistance in this matter. Yes, moderate aortic root dilation can remain stable. Practice Essentials. Thank you for your expert opinion. The actress, 44, found out she had a leaky valve in 2002. That said, the recommendations dont address WHEN that screening should occur. Perhaps meeting with a heart surgeon now, even if operation is not yet needed, might provide a forum for discussion about the options for surgery, the technical issues, and recovery. What should I do ? Hello dear doctor. Look forward to your reply and thanks for your time. The best source of recommendations about safety of various forms of exercise will come from your doctor(s) who are familiar with all the particulars of your circumstance. How are you? The heart has a difficult time coping with extra demands of exercise. Im a 44 year old male. I have recently had CT scan and MRI scan, following some chest pain experienced on track while doing marathon training. I am followed every 2 years. Me, i`m nearly 43, male and have BAV. Dwayne E. Russell Oh, plenty. The valve may also become stiff due to calcium deposits on the leaflets over time. I have some issues with a dull pain right below my left breast that seems to come more often with a poor dietbut just doesnt seem like it could me esophagus related? There are simply no reports that describe the experience of athletes returning to ECer ise (or training) after aortic dissection. California Governor and movie star of films including The Terminator and The Predator, Arnold Schwarzenegger marked the 10-year anniversary of his heart surgery at USCs Health Science Campus. Im 31 and 1 years ago i found im BAV with modrate AI. Coarctation of the aorta is a narrowing that may produce an increase in the blood pressure in the upper extremities. I wouldnt hesitate to register your concern with your sons doctor about waiting a few weeks. Celebrity. I have only played a few games of football in the last 5 years due to a knee injury but I have continued running for fun and do 5k in a reasonable 25 minutes. We have made the decision to stop playing high school soccer and will reevaluate in 6 months to determine about Spring team soccer (less intense). The video is just 1 min 42 sec long. I was having chest pain and flew to Thailand to see what the issues were and they found I had GERD and Esophagitis. At this time, it is not known whether Arnold received the new valve using a surgical aortic . This content can also be viewed on the site it originates from. It is unclear however if there are cardio thoracic surgeons who perform minimally evasive repairs yet. I am a 36 yo male who was first diagnosed with BAV at the age of 17. In addition, the Left ventrical has slowly increased over this same time period from 5.87 to 6.6 cm. Next year I would like to finish my first marathon but now I dont know whether I should keep running. I dont know what to do .. How severe are the problems? The surgeon I used told me that he had performed keyhole surgery once but wasnt sure if it would be of much benefit to me. Is there any research on this? Glad to hear that youre recovering, Zdenko. http://www.energystretch.com I cant imagine life without activity, but Im not fool to risk my life, not any more anyway :). Bicuspid aortic disease occurs when a defect is present in the valve that opens and shuts to allow blood flow from the heart through the aorta. Arnold Schwarzenegger says he feels 'fantastic' after - CNN Thanks so much Thats about as specific as he got. These differences of opinion may be legitimate. I was training for 11th marathon at the time (over the past 13 years). Given that risk, the current American guidelines recommend screening those children with echocardiogram to identify affected children. Sadly, no crystal ball is available. Should I increase amount of weight? On said it wont make a real difference, the other said oh yes, that was like a blockage, you will feel the difference. Youve got the right idea, though. Its conceivable that an echocardiogram a week afterwards could be abnormal simply because of the race. Ive starting going to the gym again and doing cardio with weights to tone up. Bicuspid aortic valve (BAV) is a heart problem present at birth and the most common congenital cardiac anomaly, with an estimated incidence of 0.5 percent to percent in the general population. Have been told to keep away from exercises that strain me, ie heavy weights. Common symptoms include chest pain, shortness of breath, dizziness and fainting. This has been true as long as I can remember in all sports I seem to have to put a lot more in to get the same out as others. This makes the aortic valve a tricuspid valve. Barb. The doctor allows me to do moderate sport defined by her like not 20k each day; 20k per week should be fine. Heart Valve Disease Personal Stories | American Heart Association Arnold Schwarzenegger (The Governator) - Heart Valve Replacement. I too would be interested in talking off-line about what I have experienced or finding docs who have studied more extensively at fine-tuning high performance engines. When Ive had patients in your situation, Ive usually recommended getting the screening when its CONVENIENT. They all cause a small bit of obstruction to blood flow as it leaves the heart. Theres a saying if you watch a group of kids running around, you would never know who had a heart defect unless they lifted their shirt. This list, which may shock you, includes Olympians, Athletes, Musicians and more, all with an invisible illness. It has a male predominance and often occurs in multiple members of the same family, suggesting that it may have an autosomal dominant inheritance, perhaps with variable penetrance. Having a congenital heart defect means you are born with a problem with the hearts structure. Considering the results of my stress test and TOE, do you think it could be my heart and should I seek 2nd opinion. Get your act together, Columbus! Search Hospitals, Join 375,000+ Patientsat Our Facebook Page Click here, HeartValveSurgery.com 2785 Pacific Coast Hwy, #517 Torrance, CA 90505 Phone: (888) 725-4311, 2023 HeartValveSurgery.com. I am a 48yo competitive cyclist who is very concerned with being able to return to my former ability to hit high effort levels following open heart surgery. Hes gained 25 pds . While I no longer due very strenuous activities, I still play softball, golf, kayak, ski, and do play hockey every now and again. Bicuspid aortic valve is associated with abnormalities in the coronary artery anatomy in about 2% of patients, including anomalous origins of the coronary arteries and upwardly displaced coronary ostia. In addition, I will get a random bout of lightheadedness when standing or sitting in a awkard position. Bicuspid aortic valve is a type of abnormality of the aortic valve. However, I always performed poorly when it came to the top end fitness tests e.g. The cardiologist doesnt do the surgery we have to go to another province to have surgery. My personal approach to endurance athletes in this situation would be to offer operation if the patient wanted to continue to participate in endurance sports (after operation) and was willing to assume the risks of operation. As chemist mostly works in a lab not in the field. Its also clear-cut that patients with significant enlargement of the aorta to greater than 5.0 cm need operation for replacement of the aorta. My surgeon says that the aneurism and bav go together. They are located between the atria and corresponding ventricle. I have also spoken with Boston Childrens Hospital who have been very helpful and enlightening. Advice here will be based on opinion rather than accumulated evidence in large numbers of children with BAV. Athletes with BAV and enlargement of the aorta to greater than 4.5 cm can participate safely only in low intensity sports (eg, golf, bowling, billiards). TAVR is a relTively new technology where a new heart valve, shrunk onto a catheter, can be threaded through the bloodstream (usually through a leg artery) to where your current valve sits.and then expanded inside the current valve, pushing it aside. My son is desperate to be able to play sports without any restrictions. 6 weeks later Im still experiencing symptoms that (in the back of my mind) have me thinking about the BV issue. The only question I have is in regards to having my children screened. Thanks! I was concerned about his cough last weekend so I was assessing his lungs with my stethoscope when I heard a very pronounced diastolic murmur at his 3rd ICS. I found a cardiologist with whom Im quite happy with. My AVG HR on a daily basis is between 61-64 (that includes a workout where it exceeds 150 at times), I have no intentions of racing this marathon, simply crossing the FINISH line, and my heart rate will not exceed 150 I will walk when/if necessary. I had a Type A aortic dissection of the ascending aorta that extended into the descending aorta terminating near the femoral arteries. My son is a very active and healthy 14 year old. If echo shows a normal size, thats probably okay. i.e. Aorta diameter (34 mm|34 mm); He left it pretty vague. Bicuspid Aortic Valve: Symptoms, Diagnosis & Treatment, Biological Tissue Valves: Pig, Cow, Horse & Human, The Patient's Guide To Heart Valve Surgery. Website designed by Gatorworks. Consensus guidelines from the Proceedings of the 36th Bethesda Conference recommend: The first recommendation does not include the endurance sports. Like you point out, its always wise to be vigilant after surgery for things that might be amiss.and get checked out. Contact Editor. My son is 16 years old and his story is very similar to many I read on your blog. Do you have any info or recommendations about this? You might keep in mind that trans-catheter aortic valve replacement (TAVR) can be used to re-replace the aortic valve. I am a 23 year old male, have BAV with mild AR. Your sons doctors are undoubtedly experts at pediatric patients. I have had scans and echos for as long as I can remember and have never been on medication nor has this condition stopped me from doing anything I have wanted. celebrities including musicians, actors, TV personalities, politicians, entertainers, and sports figures, etc. Can you clarify what may not be true please? Shes quite the athlete. Anyway, talk to a surgeon who understands quality of life means. I would defer to Dr. Dietz since youve already contacted him. Danny. If untreated, it can lead to blocked blood flow. Jeff. Soccer is his only sport and his passion- he plays on his high school team and a travel team. Hi all, My Echo Stress Test is normal but when I finish obviously the pressure is higher (190-80 at the end) . I have found your article(s) very useful amongst what I see as so much mis-information out there. His exercise stress test on 8/5/16 was fine. Log in, September 26, 2013 By Larry Creswell, MD 155 Comments. I have no proof this may be causing my less than stellar performance or if perhaps I should have more patience. Anyway, I will continue with running as much as I can, and now I have an excuse for my lousy performance. My sinus of valsalva is at 4.8 and my BAV is functional (discrete regurgitation). The doc states that basketball is a contact sport in her medical books and we would need to consult with another doctor to possibly get approval. Maybe thats not surprising, given that Im a heart surgeon and that many individuals with BAV need operation at some point. For athletes with mechanical heart valves, the most important consideration is usually about potential bodily injury while taking blood thinning medications. Most probably not pericarditis cause I had it once so I know that pain type, but again, maybe its some other type. In the process of how I had the slow waltz with MG UNTIL DIAGnosed, will be ready in 3 weeks. This is the only measurement that has gone down . I didnt get it.". Sadly, most school/sports physical exam programs dont include echocardiogram.and the absence of a heart murmur in a child wouldnt preclude the diagnosis. The cardiologist told us at that appointment that we needed to start considering surgery to repair his valve. This blog helped me a lot in my panic days, it put me at ease when I was worrying to much, just to see and to know your enemy and to realize that you are not alone is great help.
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